Robert Wood Johnson University Hospital - Somerset, NJ 4

Provides case management and disease management to ED patients, discharge planning, utilization review using Milliman Criteria and Interqual Criteria....

Estimated: $66,000 - $88,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Maxim Healthcare Services - Youngstown, OH 3.6

Knowledge of InterQual and Milliman a plus. NaviHealth is the result of over a decade of dedicated visionary leaders and innovative organizations challenging...

Sponsored

Piedmont Healthcare - Atlanta, GA 3.8

Experience using InterQual or Milliman; The Care Manager is responsible for care coordination, progression of care, and....

Estimated: $56,000 - $76,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Sponsored

Correct Care Solutions - Nashville, TN 

Overview Our Regional Care Manager, in collaboration with the Regional Medical Directors and CCS site leadership, is responsible for the utilization management...

Estimated: $59,000 - $77,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Sponsored

AmeriHealth Caritas - Harrisburg, PA 3.4

Applies AHC authorization process (InterQual Medical Guidelines, Milliman USA, process standards, policies and procedures, and standard operating procedures) to...

Estimated: $52,000 - $76,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Southern Regional Medical Center - Riverdale, GA 3.7

Knowledge of Milliman Criteria and InterQual Criteria preferred. Responsible for the quality and resource management of all patients that are admitted to the...

Aetna - Wichita, KS +1 location3.8

Experience and knowledge in clinical guidelines, systems and tools i.e. Milliman, Interqual. Develop, implement, support, and promote Health Services strategies...

Estimated: $56,000 - $75,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Allied Global Services - Kansas City, MO 3.8

Experience with Milliman (MCG) or InterQual guidelines. One of the largest Health Plan organizations in the U.S.!...

$95,000 - $100,000 a year

Milliman - Atlanta, GA 3.8

Conduct and review financial analyses for employer group health plans. Leverage existing models to produce analyses such as healthcare budgets, premium...

Estimated: $67,000 - $91,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

PROVIDENCE MEDICAL CENTER - Kansas City, KS 3.7

Knowledge of Milliman Preferred. The Director of Case Management is responsible for the development of staff and systems to effectively operate a comprehensive...

Estimated: $90,000 - $120,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Milliman - Seattle, WA 3.8

Healthcare Consulting at Milliman. Milliman offers a unique entrepreneurial environment where consultants are given the tools to succeed....

Estimated: $110,000 - $150,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Milliman - Albany, NY 3.8

The New York Region Employee Benefits Practice is seeking an Enrolled Actuary for our Little Falls, NJ or Albany, NY office. The successful candidate will...

Estimated: $99,000 - $130,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Loyola University Medical Center - Maywood, IL 3.8

Using knowledge of medical necessity and appropriateness of setting as gained through a thorough understanding of milliman and interqual criteria, conducts...

Estimated: $53,000 - $71,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Gottlieb Memorial Hospital - Maywood, IL 3.7

Using knowledge of medical necessity and appropriateness of setting as gained through a thorough understanding of milliman and interqual criteria, conducts...

Estimated: $50,000 - $69,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Cottage Health System - Santa Barbara, CA 3.9

Must be able to demonstrate an understanding of InterQual and Milliman guidelines, community standards relevant to inpatient acute care, and payer denial and...

Estimated: $99,000 - $130,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Provider Resources Inc - United States 4

One year or more of utilizing InterQual and/or Milliman guidelines against inpatient services experience is preferred. Medical Review Nurse....

Estimated: $64,000 - $81,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Milliman - Chicago, IL 3.8

Work with Cyber Risk Solutions practice group in designing and delivering Enterprise Risk Management (ERM), Non-Financial Risk (NFR) and cyber risk consulting...

Estimated: $73,000 - $97,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

KPMG - Atlanta, GA 4

Experience with Interqual and/or Milliman care guidelines and working knowledge of CPT/HCPCS and ICD coding is desirable....

Estimated: $61,000 - $84,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Emerus Holdings - The Woodlands, TX 

InterQual and/or Milliman experience, required. This exciting position is based out of our home office in The Woodlands!...

Estimated: $63,000 - $79,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Delta Medical Care - New Port Richey, FL 

Knowledge of Interqual, CMS and/or Milliman guidelines preferred. Medical Services Organization located in New Port Richey is looking for a licensed RN/LPN with...

Estimated: $50,000 - $75,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

NORTH - MAIN MEDICAL CENTER - Martin Health System - Stuart, FL 4

Must have knowledge of utilization management principles and a working knowledge of InterQual, Milliman & Robertson (M & R) criteria....

Estimated: $51,000 - $69,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Loyola University Medical Center - Maywood, IL 3.8

Using knowledge of medical necessity and appropriateness of setting as gained through a thorough understanding of milliman and interqual criteria, conducts...

Estimated: $72,000 - $100,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

MONROE HOSPITAL - Bloomington, IN +2 locations3.7

Knowledge of Milliman Criteria and InterQual Criteria preferred. Responsible for the quality and resource management of all patients that are admitted to the...

Estimated: $50,000 - $71,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Network Medical Management - Alhambra, CA 3.1

100% compliance in applying Milliman Care Guidelines criteria for admission and continued stay in acute care setting....

Estimated: $51,000 - $72,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Sponsored

Community Health Group - Chula Vista, CA 3.7

Case management, disease management, or authorization referrals processing according to standard clinical (such as Milliman USA)....

Sponsored

TotalMed Staffing, Inc - San Francisco, CA 3.8

Work on Milliman. Authorizes requests for services using Milliman clinical guidelines; Performs concurrent review to assure appropriateness of admission,...

Estimated: $62,000 - $78,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Sponsored